| Lydia Moreno, APRN | |
|
211 Ranchera St Nw, Live Oak, FL 32064 | |
| (386) 755-4020 | |
| (386) 752-9143 |
| Full Name | Lydia Moreno |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 211 Ranchera St Nw, Live Oak, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497482426 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN11021067 (Florida) | Primary |
| Entity Name | Trenton Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801826268 PECOS PAC ID: 2365359387 Enrollment ID: O20050428000865 |
| Mailing Address | Practice Location Address |
|---|---|
| Lydia Moreno, APRN 23476 Nw 186th Ave, High Springs, FL 32643-0673 Ph: (386) 454-0698 | Lydia Moreno, APRN 211 Ranchera St Nw, Live Oak, FL 32064 Ph: (386) 755-4020 |
Cheryl Renae Abersold, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 112 Irvin Ave Sw, Live Oak, FL 32064 Phone: 386-330-6380 | |
Mrs. Melania J Willis, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 701 Ohio Ave S, Live Oak, FL 32064 Phone: 386-330-5248 Fax: 386-208-1380 | |
Valeria Nicole Randle, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 807 Walker Ave Nw, Live Oak, FL 32064 Phone: 386-364-8775 | |
Mrs. Amber Ingram Chauncey, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1002 11th St Sw, Live Oak, FL 32064 Phone: 386-364-8050 | |
Susan Michelle Blizzard, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 211 Ranchera St Nw, Live Oak, FL 32064 Phone: 386-364-1751 Fax: 386-364-1761 | |
Mrs. Melissa Fay Peters, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1304 Ohio Ave S, Live Oak, FL 32064 Phone: 386-364-0776 | |
Kristina Melissa North, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 11th St Sw, Live Oak, FL 32064 Phone: 386-362-0800 |